Angels Life Skills Center, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

ANGELS LIFE SKILLS CENTER, INC

Practice address

20829 Kingsland Blvd Ste D
Katy, TX 77450-2713

Phone

(281) 717-4870

Fax

(281) 717-4920

NPI assigned

Jun 7, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peter Sayre Odell

Title

Executive Director

Phone

(281) 717-4870

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559865600000",
    "number": "1073172623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20829 KINGSLAND BLVD STE D",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502713",
            "telephone_number": "281-717-4870",
            "fax_number": "281-717-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20829 KINGSLAND BLVD STE D",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502713",
            "telephone_number": "281-717-4870",
            "fax_number": "281-717-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS LIFE SKILLS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A",
        "authorized_official_last_name": "ODELL",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "SAYRE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "281-717-4870"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peter.odell@angelslifeskills.org",
            "affiliation": "N",
            "endpointDescription": "Primary Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "20829 Kingsland Blvd Ste D",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774502713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.